On duration judgments lasting seconds to minutes, which are thought to be cognitively mediated, women typically perceive time intervals as longer than men do. On a perceptual level in the milliseconds range, few reports indicate higher acuity of temporal processing in men than in women. In this study, sex differences in the perception of temporal order of two acoustic stimuli were identified in neurologically healthy subjects, as well as in brain-injured patients with lesions in either the left or the right hemisphere. Women needed longer interstimulus intervals than men before they were able to indicate the correct temporal order of two clicks. Neurobiological evidence and findings on cognitive strategies are discussed to explain the apparent psychophysical sex differences.